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j �` CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 9 0 0 * <br /> DATE ISSUED: 07/20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2224 SHADYWOOD RD <br /> pIN : 17-117-23-42-0003 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 010 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATIOl�1 : $ 16,352.00 <br /> NOTE: REAPLCE(9)WINDOWS INTO EXISITNG OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 309.79 <br /> STATE SURCHARGE(VALUATION) 8.18 <br /> RENEWAL BY ANDERSON TOTAL 317.97 <br /> 1920 COUNTY RD C. WEST Payment(s) <br /> ROSEVILLE,MN 55113 CREDIT CARD 8788 317.97 <br /> (612)502-4777 <br /> Minnesota State License#: BUIL-BC130983 <br /> OWNER <br /> GRIFFIN,MARK&SUSANNE <br /> 2224 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.'fhis permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ( � �e� 7 � �a�!s <br /> Applicant Permitee Signature Date Iss e By Signature Date <br />